Organization
MH GENTRY PARK AL OPERATING, LLC
Active
Other names
Gentry Park Orlando
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY JAMES VAUGHN (REIMBURSEMENT ANALYST)
(240) 595-6025
Entity
Organization
Contact information
Practice address
3201 CENTER POINTE DR, ORLANDO, FL 32825-6323
(321) 236-4406
(407) 845-0886
Mailing address
3201 CENTER POINTE DR, ORLANDO, FL 32825-6323
(321) 236-4406
(407) 845-0886
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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